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AE 101 FINAL PREP HIGH-YIELD TOPICS
SUMMARY 2026
โ During the preoperative interview, the perioperative nurse should ask pt's about their use of a. alcohol b. herbal preparations c. recreational drugs d. tobacco products e. all of the above. Answer: e โ The preoperative interview is the final assessment of the pt. This nurse-pt interaction enables the nurse to a. identify any additional pt care needs prior to surgery b. determine the length of the procedure and needed supplies c. introduce the pt to the surgical team d. provide info necessary for d/c. Answer: a โ Which assessment finding is common among elderly pts?
a. An increase in oxygen saturation b. Decrease in vision including color and depth perception c. Increased perception of pain d. An easy adjustment to a change in their environment. Answer: b โ During the preoperative interview, the RN should ask the pt about use of any herbal preparations and/or botanicals. Why is this a critical component of the assessment? a. These products can affect bleeding times b. An alteration of medication metabolism can ensue c. Anesthetic toxicity can occur d. All of the above. Answer: d โ It is important to discuss the pt's spiritual needs during the pre- op assessment. What elements of different faiths should the periop nurse be aware of in the event of a pt's intraoperative death? a. Islamic beliefs include that one designated person should wash the body of the deceased b. The team should prepare for an organ donation for the deceased of any religious belief c. The RN circulator should immediately contact a local mortuary
b. Including family in the education process c. Performing emergency surgery without informed consent d. Providing info about the scientific evidence for planned care. Answer: a โ A 43 yr old female scheduled for a lap choly, the periop RN should provide preop education to her and her family, incuding a. Detailed info about the surgical procedure, including risks and benefits b. Obtaining informed consent from her and suspending any DNR orders c. Verification of financial records d. Wound care and pain management. Answer: d โ Periop teaching encompasses the 3 elements of info, psychological support, and skills training. What most accurately describes the level of skills training? a. Information describing elements of postoperative recovery b. Coping mechanisms provided for fear and anxiety c. The explanation of the periop process d. Description of intraoperative pt care activities. Answer: a
โ A surgical mask should cover both mouth, nose and should be a. Allowed to hang around the neck between procedures b. Changed after 2 hours of use c. Removed and discarded after every case d. Tied snugly with strings crossed. Answer: c โ The ventilation system in the restricted area of the OR should have an air exchange rate of at least _________ air exchanges per hour a. 5 b. 20 c. 10 c. 15. Answer: b โ Documentation should be accurate, concise, and complete, providing information for future reference in addition to a. Ensuring the quality of pt care b. Serving as evidence in a court of law c. Reconstructing the pt's healthcare experience d. All of the above.
c. Spray instruments with an enzymatic detergent d. Wipe instruments with a sponge moistened with sterile water and flush lumens with sterile water. Answer: d โ Select the appropriate Spaulding Classification System category for each item listed: a. Blood pressure cuff b. Laryngoscope blade c. Ortho implants
- critical
- non- critical
- semi critical. Answer: a. 2, b. 3, c. 1 or BP non crit, blade semi, implants critical โ What is the first step in reprocessing surgical instruments after they have been used in a procedure? a. Cleaning b. Decotamination c. Disinfection d. Transport to the sterilizer. Answer: a
โ Biological monitoring a. Is utilized to document the sterility of an item b. Indicates that the intended physical conditions in the sterilizer were met c. Can be read immediately after the sterilization cycle is complete d. Should never be used in IUSS. Answer: b โ Decontamination of instruments should begin after the completion of all invasive porcedures to prevent the formation of biofilm. Which of the following statements is correct? a. Decontamination of instruments occurs at the time of use of the instruments b. Decontamination begins when instruments are treated with an approved chemical application or covered with a moistened towel c. Decontamination of lumened instruments begins with flushing the lumen with sterile saline d. Instruments with multiple parts are not disassembled if they were not used during the surgery. Answer: b โ What are the principle elements required for an infection to occur?
Answer: d โ Which of the following is a disease that is transmitted via the airborne route? a. C Diff b. Flu c. Measles d. Shingles, localized. Answer: c โ When transporting a pt who is on contact precautions, the transporter a. Always wears PPE b. Wears PPE for a restless or intubated pt c. Wears PPE if they are uncertain if they will need to touch the pt d. Wears PPE only when touching the bedrails. Answer: b โ What are the types of transmission based precautions? a. contact, droplet, airborne b. direct contact, enteric, standard c. indirect contact, direct contact, standard contact
d. MRSA, VRE, C Diff. Answer: a โ Vaccine preventable disease against which health care providers should be immunized include: (select all that apply) a. hep B b. seasonal flu c. tuberculosis d. varicella. Answer: a, b, d โ An integrator is a multiparameter indicator designed to measure which of the following parameters? a. pressure, steam, temp b. temp, time, presence of steam c pressure and sterility. Answer: b โ In which surgical wound category should a total abdominal hysterectomy be classified a. clean b. clean contaminated
b. event related c. content related d. sterilization related. Answer: b โ Match the designated surgical area with the correct surgical zone: a. preoperative pt care area b. work area for processing instruments c. individual OR suite with sterile supplies opened
- restricted
- semi restricted
- unrestricted. Answer: a. 3, b. 2, c. 1 โ The relative humidity in the OR suite should be maintained within a range of a. 20-30% b. 20-60% c. 30-70% d. 40-50%. Answer: b
โ The pathology lab and blood bank are usually situated in which of the following areas? a. unrestricted b. semi restricted c. restricted d. fully restricted. Answer: a โ Proper OR attire for restricted areas includes: (select all that apply) a. head covering in a shower cap or hood style b. shoe covers required for all team members c. 2 piece scrub suit with top tucked into the pants and secured at the waist d. warm up jacket snapped with cuffs down to wrists. Answer: a, c, d โ A 65 yr old pt is in the pre op holding area. The pt's pre op lab test results show several critical values. Which of the following actions should the circulating nurse complete first? a. ask the lab to draw confirmatory lab tests b. inform the anesthesia provider of the lab values c. notify the charge nurse of your findings
โ The ultimate responsibility for obtaining informed consent resides with the a. surgeon b. risk manager c. pt's guardian d. preoperative nurse. Answer: a โ truth telling and the process of reaching informed consent underlie the principle of: a. respect b. empathy c. self determination d. communication. Answer: c โ Per the Pt Care Partnership, the AHA believes the pt has the right to the following: a. info, unless the surgeon deems it unnecessary or detrimental to the pt b. to give informed consent for their treatment c. to have a loved one in the OR during the surgery d. a video showing and explaining the upcoming surgery.
Answer: b โ A preoperative nursing assessment should be conducted by a preoperative RN at what point? a. prior to d/c b. before the surgery c. in the surgeon's office d. before the surgical consent is signed. Answer: b โ In relation to transcultural needs of the pt, it is important to include __________ needs in the nursing assessment. a. medical b. ADLs c. pharmacological d. spiritual. Answer: d โ What are the 3 main factors to consider when assessing the pt for allergies? a. heredity, age, prior reaction b. prior reaction, diet, age
d. recreational drug use can result in withdrawal symptoms e. recreational drug users may require higher doses of anesthetic medications. Answer: b, c, d, e โ The Perianesthesia nurse has ASPAN to guide their practice. What does ASPAN stand for? a. American Sterilization of PeriAnesthesia Nurses b. Association of Specialized PeriAnesthesia Nursing c. American Society of PeriAnesthesia Nurses d. Association of Surgical Post Anesthesia Nursing. Answer: c โ An example of a standardized format for hand off communications is the SBAR. This acronym represents: a. Situation, background, application, responsiveness b. Site marking, background, application, readiness c. Situation, background, assessment, recommendation. Answer: c โ A hand over communication report is given by the anesthesia professional and a. surgical resident
b. medical student c. OR nurse d. inpatient nurse. Answer: c โ PACU nurses hold which 2 advanced certs? (select all that apply) a. PALS b. wound care cert c. ACLS d. certified emergency nurse. Answer: a, c โ Which of the following is not an example of an ethical dilemma that period nurses may encounter? a. DNR order for a surgical pt b. family disagreement regarding possible organ donation c. family disagreement about a BKA on an 18 yr old who has already given consent d. human experimentation. Answer: c
